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New drug targets for hypertension: A literature review
Qiannan Gao1, Li Xu2, Jun Cai3
1State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, People's Republic of China.
Insights
Resistant hypertension is hard to treat. This review explores established and novel therapeutic targets, including the gut microbiome, for better blood pressure control and fewer side effects.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Microbiome Research
Background:
- Hypertension is a leading global cardiovascular disease.
- Resistant hypertension poses significant treatment challenges.
- Current antihypertensive drugs can cause adverse effects, necessitating new approaches.
Purpose of the Study:
- To review classical and emerging drug targets for hypertension management.
- To discuss the therapeutic potential of novel treatments, including microbiome-targeted therapies.
- To highlight the need for improved hypertension control strategies.
Main Methods:
- Literature review of classical hypertension targets (e.g., aldosterone receptor, ACE2 axis).
- Exploration of recent research on novel targets, focusing on the gastrointestinal microbiome.
- Synthesis of current knowledge on drug targets and their clinical utility.
Main Results:
- Classical targets like the aldosterone pathway and ACE2/angiotensin 1-7/Mas receptor axis have been extensively studied.
- Emerging strategies involve targeting the gastrointestinal microbiome for blood pressure regulation.
- Both classical and novel targets offer potential for improved hypertension management.
Conclusions:
- New therapeutic targets are crucial for managing resistant hypertension and comorbidities.
- Gastrointestinal microbiome-based therapies represent a promising new class of antihypertensive treatments.
- Further research into these targets can lead to more effective and safer hypertension therapies.
Abstract:
Hypertension is one of the most prevalent cardiovascular diseases worldwide. However, in the population of resistant hypertension, blood pressure is difficult to control effectively. Moreover, antihypertensive drugs may have adverse effect currently. Hence, new therapeutic targets and treatments are needed to uncovered and exploited to control hypertension and its comorbidities. In the past, classical drug targets, such as the aldosterone receptor, aldosterone synthase, and ACE2/angiotensin 1-7/Mas receptor axis, have been investigated. Recently, vaccines and drugs targeting the gastrointestinal microbiome, which represent drug classes, have also been investigated for the management of blood pressure. In this review, we summarized current knowledge on classical and new drug targets and discussed the potential utility of new drugs in the treatment of hypertension.
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